Document Detail


Accuracy of caudal epidural injection: the importance of real-time imaging.
MedLine Citation:
PMID:  17147588     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Caudal epidural steroid injections are often used for low back pain. Fluoroscopic guidance has been frequently cited as a requirement for this procedure. In this preliminary report, we demonstrate that fluoroscopic guidance for caudal epidural Tuohy needle placement without real-time imaging may result in inadvertent intravenous injection of the drug. We detected intravenous leakage of the drug in 4 cases of 10 when real-time fluoroscopic imaging was used. Thus, real-time imaging may be recommended in addition to routine fluoroscopic guidance for caudal epidural procedures, as it may improve efficacy and safety by assuring accurate drug deposition.
Authors:
Atilla Ergin; Omer Yanarates; Ali Sizlan; M Emin Orhan; Ercan Kurt; M Erdal Guzeldemir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pain practice : the official journal of World Institute of Pain     Volume:  5     ISSN:  1533-2500     ISO Abbreviation:  Pain Pract     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2006-12-06     Completed Date:  2007-06-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130835     Medline TA:  Pain Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  251-4     Citation Subset:  -    
Affiliation:
Gulhane Military Medical Faculty, Department of Anaesthesiology and Reanimation, Ankara, Turkey. aergin@gata.edu.tr.
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